Christian D Nilson MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

69626121205 Issued in UT

Legal business name

CHRISTIAN D NILSON MD PC

Practice address

550 E 1400 N Ste P
Logan, UT 84341-2450

Phone

(435) 752-2020

Fax

(435) 752-5475

NPI assigned

Jul 25, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Christian D Nilson, MDNPI 1932321460

Title

President

Phone

(435) 752-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT, ID2 enrollments

Enrollment records 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christian D Nilson, MD PC

  • Ophthalmology Physician
  • Logan, UT
  • NPI 1932321460

  ID

  Medicare reassignment Care Compare group NPD Authorized official
• Landon James Karren, D.O.

  • Ophthalmology Physician
  • Grand Forks, ND
  • NPI 1518212893

  UT

  Medicare reassignment Care Compare group NPD
• Rebecca Lynn Freeman, O.D.

  • Optometrist
  • Logan, UT
  • NPI 1174789721
  Medicare reassignment Care Compare group
• John Scott Raymond, MD

  • Specialist
  • Logan, UT
  • NPI 1457371700
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1417112715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E 1400 N",
            "address_2": "STE T",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412406",
            "telephone_number": "435-752-2020",
            "fax_number": "435-752-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E 1400 N STE P",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412450",
            "telephone_number": "435-752-2020",
            "fax_number": "435-752-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN D NILSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "NILSON",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-752-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "69626121205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWNERS DOB",
            "identifier": "08111972",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margo Christensen, RN
• Sari Christensen, M.S., BCBA, LBA
• Stephen Christensen, MD
• Tina Christensen
• Tyler Christensen, PH.D.
• David E Christian, PHD
• Breshae Christofferson
• Brian D Chudleigh, DMD
• Mary Danelle Chugg
• Emmalee Clark, OTR

• Ophthalmology Physician in Logan, UT
• Providers in Logan, UT by specialty
• Ophthalmology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.